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480 Ocean Blvd 2013 window It SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003296 Date 8/26/13 Property Address . . . . . . 480 OCEAN BLVD Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 16010 ---------------------------------------------------------------------------- Application desc door replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NELSON JEFFREY & KIMBERLY M A WORK OF ART OF N. FL, INC. 480 OCEAN BLVD 1212 N 7TH STREET ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250 (904) 294-22S3 ---------------------------------------------------------------------------- Permit WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 135 . 00 Plan Check Fee 67 . 50 Issue Date . . . . Valuation . . . . 16010 Expiration Date . . 2/22/14 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 03 STATE DBPR SURCHARGE 2 . 03 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135 . 00 135 . 00 . 00 . 00 Plan Check Total 67 . 50 67 . 50 . 00 . 00 Other Fee Total 4 . 06 4 . 06 . 00 . 00 Grand Total 206 . 56 206 . 56 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 FILE COPYk Office (904) 247-5826 Fax (904) 247-5845 Job Address: 440 C-(CA u Permit Number:- /Y— 7,2 ?6 Legal Description _S–�q 16-j,�S -& Parcel# 17017,S-00W Floor� Sq.Ft. 'q Valuation of Work$ Proposed Work heatedtcooled 'n=-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa W Use of existing/proposed structure(s)(circle one): Commercial ge-s_id�n�- If an existing structure,is a fire sprinkler system installed? (Circle one): -�s No (,N/A 7 Florida Product Approval# --ArL q0, ?,;e/- fL / AL, For multiple products use produi—ta-p-p—r-ov-ill forni Describe in detail the type of work to be performed: '�N 14_�) �_x I ;Aj 61 U Property Owner Information: Name: V1 V)k q�,r Address:- 0(_5_,4V-\ .V)11J _P one city yl.A, fe�,; Stat6jL,,Zip _S U h 1!61 i2l I E-Mail or Fax#(OptI`6_`n_a1_) Contractor Information: CONTRACTOR EMAIEL ADDRESS: A_-� Company Name: —Qualif /j 1� r yingAgent: s: J 'kj, Q Addres -\k, CitV\, Ilk or V\ Statp �N k Zip P Lj()4 -'Ik-W7,' Office' ho e Job Site/Contact Number 44 State Certificati�n/Registrati n < Architect Name&Phone# /. 11 Engineer's Name&Phone# "-WEDFOR CODE CoApL C Fee Simple Title Holder Name and Address ITY OF AD .4 NT C BEACH Bonding Company Name and Address S Mortgage Lender Name and Address /V REQUIREMUS AND COND 4pplication is hereby made to obtain a permit to do the work and installation hat w(;;kr or iryj on has c,ommenced rior to the issuance of a permit and that all work will be performed to meet the standards ons thisju b comes null and void if work is not commenced within six(6)months, or if construction or work is suspoe aed o nt s a time after work is commenced I understand that separate permits must be securedfor ElectricaF Work, Plum ing,S Heaters, Tanks andAir Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I here certify that I haAad6d exam. ed th' plication and know the same to be true and correct. All provisions of laws and o inances governing thi's s t violate or cancel the type.).work will be co iXe srelci ed ith h h XeW herein or not. The anting of a permit does not presume to give authority W' c grth,pe�jbrmance of construction. provisions of any otherr Vleal, tate, ed aw regulating construction 0 Signature of Owner Signature of Contractor Print Name Il................................................. Print Name 'll; �jj -- r ................. . ....................... ....... ...... ....I ions to OL law and inances gove, g ori vio or c '.ies . ,4austh late Before jue Beforr NADINE GALASSO this . 20 / Day 2 1011 Day of s_�, ESSIE MERRITT Notary Public,-State of Florida 2p�"t 014 M ftry Publia--Stat"ll Florid' ommission.V Ou 9755vo N6tary Public 0 Vs. tary Pub ic My comm Expires Feb 10,201 'IRL410 r Bonded Through National Notary Assn.. Commission#EE 872959 -RCT I STCI'V 17Z 071 tr Borided Through Nationa —mn NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) ,�i FILE y '70/_ Permit No. Tax Folio No. State of County i To whom It may concern: The undersigned hereby informs you that Improvements will be made to certain real property,and In accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: "S Address of property being improved: General description of improvements: Y-'e-n rj'_�f (1—,645 11/'/A�' je�jo_ a-"'N 15 'f- 'A 1 4, CA r 1A Owner 4 Address owner's interest in site of the improvement Fee Simple Titleholder l[if other than owner) Name i Z Address I I Contractor 4 AJZ -A K L.,, Address AJ QA Phone No. Fax No. Surety Of any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address A Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the foliowing person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration dat is one(1)year from the date of recording unless a different date Is specified): A 7 - - THIS 5VACE�_O_RRECORDER'S USE ONLY OWNER Signed: - I DATE _5 his 1 day of _r_3 Before –in e C 3..d- far. 0 �State and nhas/Trs6nallya herein by ESSIE MERRITT hims hersall'and affirms that all stalontentsand tary Public-State of Florida are true and accurate No Doc#2013217688,OR 8K 16501 Page 981, My Comm. Expires Feb 10,,]2017 Number Pages: 1 5 9 Commission#EE 872959 Recorded 08/2112013 at 03:30 PM. y Assn Bonded Through National Notary Assn. Ronnie Fussell CLERK CIRCUIT COURT DUVAL 'W W COUNTY WtaryPbl' tWg Stat of C nly of RECORDING$10.C)o %: ou my cororni,si..e.p1r. �2 Personally Known—- or Produced Identification City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 1002/ IS - 22,7(10 9 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us LDate routed: __1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: em-71 _41VC1 De t review required Ye�Z-No 4iarLmen Building ) Applicant: � W04',e 0,/ A-r PTa-nn1ng &zoning 0 Tree Administrator Project: -2wie 7a of- a Public Works Public Utilities Public Safety -A Fire Services Review fee Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: 2-Approved. [:]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: nApproved as revised. ElDeni4/ PUBLIC WORKS Comments: C:BIU�ILDING PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: RApproved as revised. []Denied. Comments: Reviewed by: Date: Revised 05114/09